Form
Name
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Is your social media list under a different name? If so please list
Co Applicant Name
Co Applicant Phone Number
Co Applicant Email
Date
-
Month
-
Day
Year
Date
Are you employed? If so where? Full or part time?
Do you rent or own a home?
Own
Rent
Other
Vets office you intend to use
Do you have a fenced in yard?
Yes
No
Other- respond at bottom
What type of fence? Height?
Three non family references- name and telephone numbers-
Where will puppy spend his/her days & nights?
How long will puppy be alone during the day?
What gender did you prefer?
Female
Male
Do you have plans to put puppy in any type of puppy classes or training? Training is one of the most important parts of owning a giant breed.
Do you plan or carry any pets insurance? If so what do you have or are your plans for a new puppy?
What type of home will this be?
Pet Home
Show Home
Sports Home
Breeding Home
Other
Are you set on na specific color/pattern? If so please leave details
Any other pets or children within the home? Please list ages for both- breed if required
Have you previously owned a Great Dane?
Why did you decide on this outstanding breed?
Have you ever had to surrender any pets previously? If so why?
Have you or anyone in the puppy's future household ever been arrested, charged or convicted for animal cruelty or animal hoarding?
Will you pick up your puppy or will it need to be shipped? If it needs to be shipped, would you like the name of flight nannies?
Please list anything you need to here-
Do you understand that a puppy reservation fee of $800.00 is nonrefundable?
Yes
Signature
Continue
Continue
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